Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.79 / $6,541.00 / $13,413.92	Facility		$1,261.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $1,891.75 / $9,568.45	Professional		$162.34	$1,891.75	$9,568.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.33 / $705.33 / $5,848.72	Professional		$705.33	$705.33	$5,848.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $1,641.84 / $13,395.84	Facility		$250.30	$1,641.84	$13,395.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.65 / $1,643.66 / $11,159.40	Professional		$568.65	$1,643.66	$11,159.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.75 / $1,302.32 / $10,932.17	Professional		$789.75	$1,302.32	$10,932.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $1,641.84 / $13,395.84	Facility		$250.30	$1,641.84	$13,395.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $1,815.85 / $12,447.00	Professional		$731.25	$1,815.85	$12,447.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,579.30 / $5,954.00 / $10,532.39	Professional		$4,579.30	$5,954.00	$10,532.39